Tibialis Posterior Pain

Tibialis Posterior Pain

What is tibialis posterior pain?

Tibialis posterior pain is one of the most common problems of the foot and ankle. It manifests when the posterior tibial tendon becomes swollen or torn. Consequently, the tendon may no longer be able to provide balance and support for the arch of the foot, leading to flatfoot.

Symptoms of tibialis posterior pain

  • Pain on inside of the foot and ankle
  • Pain accentuates with activity
  • Pain on the outside of the ankle
  • Trouble walking
  • Swelling
  • Heel bone may shift

What cause tibialis posterior pain?

An acute injury – for instance, a fall – can tear the tendon or cause it to swell. Overuse of the tendon can also cause it to tear. Those who do high-impact sports, such as basketball or football, are more susceptible to tears in this area. Upon swelling or tearing, the foot arch will begin to collapse over time.

Tibialis posterior pain treatment

In most patients, symptoms shouldn’t last longer than three months with appropriate non-surgical treatment.

Protection, rest, ice, compression and elevation (PRICE) is one of the most recommended approaches for the management of sprains. The aim is to minimize haemorrhage, swelling, inflammation and pain, to provide the best conditions for healing to take place.

The PRICE approach is recommended by NHS Choices:

  • Protection – protect the injured area from further injury – using a support bandage if appropriate
  • Rest – stop the activity that caused the injury, and rest the injured joint or muscle. Avoid activity for the first 48 to 72 hours after injury
  • Ice – for the first 48 to 72 hours after the injury, apply a cooling therapy like Physicool
  • Compression – compress or bandage the injured area to limit any swelling and movement that could damage it further
  • Elevation – keep the injured area raised and supported on a pillow to help reduce swelling

Physicool provides the key stages of PRICE in a single reusable bandage, providing protection, cooling and compression for the foot to help the healing process. A Physicool bandage can be applied to the injury and the cooling effect recharged by spraying Physicool Coolant directly onto the bandage whilst it is in position.

Apply a Physicool A Bandage for thirty minutes to one hour, 2-4 times per day. After training and evenings are important times. Especially evenings due to the weight that your foot has carried throughout the day, but a lunchtime treatment will definitely help. This will speed up recovery time and get you back to feeling yourself in no time.

Physicool is a unique cotton bandage impregnated with a patented liquid which draws heat away from the affected tissues by rapid evaporation. While the deep tissues are being cooled, the simultaneous compression effects of Physicool modify the inflammatory response to soft tissue damage which helps promote healing.


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